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Individual

DONALD DUNN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 N QUANAH AVE, RUSSELLVILLE, AR 72801-2762
(479) 968-1011
Mailing address
200 N QUANAH AVE, RUSSELLVILLE, AR 72801-2762
(479) 968-1011

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C4590
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51473
ARK BLUECROSS
AR
Enumeration date
03/24/2006
Last updated
07/08/2007
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